Doctor Name: | MRS. SARAH PATE |
NPI Number: | 1053799379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-I |
License Number: | 74146 |
Business Practice Address: | 3513 N Frazier St Conroe, TX - 773031430 |
Business Phone Number: | 9366897882 |
Business Fax Number: | |
Mailing Address: | 3513 N Frazier St, CONROE |
State: | TX |
Postal Code: | 773031430 |
Phone Number: | 9366897882 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2015 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 74146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |